A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?

Grapefruit juice inactivates this medication.

It is important to avoid foods that contain tyramine.

This medication must be swallowed whole.

Diazepam can cause drowsiness.

Answer and Explanation

The Correct Answer is D

A. Grapefruit juice inactivates this medication - Grapefruit juice is known to interact with certain medications, but it does not affect the metabolism of diazepam. Therefore, this statement is incorrect.

B. It is important to avoid foods that contain tyramine - Tyramine is typically associated with interactions with monoamine oxidase inhibitors (MAOIs), not benzodiazepines like diazepam. Therefore, this statement is incorrect.

C. This medication must be swallowed whole - While it is generally recommended to swallow diazepam tablets whole with a full glass of water, this instruction does not encompass the full range of information necessary for safe medication use.

D. Diazepam can cause drowsiness - This statement is correct. Diazepam, like other benzodiazepines, has sedative effects and can cause drowsiness. Patients should be advised to avoid activities that require mental alertness, such as driving, until they know how the medication affects them. This is an essential aspect of patient education regarding diazepam.

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Correct Answer is ["A","D","E"]

Explanation

Tardive dyskinesia (TD) is a potential adverse effect associated with long-term use of antipsychotic medications like haloperidol. It manifests as involuntary, repetitive movements, primarily involving the face, mouth, and tongue. The nurse should suspect tardive dyskinesia when observing the following manifestations:

A. Involuntary pelvic rocking and hip thrusting movements: These movements are characteristic of tardive dyskinesia and indicate abnormal involuntary motor activity.

B. Urinary retention and constipation: These are not typical manifestations of tardive dyskinesia. Urinary retention and constipation can be side effects of anticholinergic medications but are not associated with tardive dyskinesia.

C. Fine hand tremors and pill rolling: These manifestations are more characteristic of parkinsonism, which can be a side effect of antipsychotic medications but is distinct from tardive dyskinesia.

D. Tongue thrusting and lip smacking: These are classic manifestations of tardive dyskinesia and indicate abnormal involuntary movements of the tongue and lips.

E. Facial grimacing and eye blinking: These are also common manifestations of tardive dyskinesia, involving involuntary movements of the face, including grimacing and blinking of the eyes.

A. Rotate staff that administer the medications. B. Engage the client in conversation following medication administration. C. Use sustained-release forms. D. Provide for once-daily dosing. E. Perform mouth checks following the administration of the medication.

Correct Answer is ["C","D","E"]

Explanation

Answer:C, D, E

Rationale:

A) Rotate staff that administer the medications: Rotating staff can lead to inconsistency in communication and rapport with the client. A consistent nursing team is more likely to build trust and encourage adherence to medication therapy. Therefore, this intervention may not effectively promote adherence.

B) Engage the client in conversation following medication administration: While engaging the client in conversation can help build rapport and create a supportive environment, it may not be the most effective intervention for encouraging medication adherence. The priority should be focused on ensuring the client takes the medication as prescribed, rather than focusing on conversation after administration.

C) Use sustained-release forms: Sustained-release formulations can help with adherence by providing a more consistent therapeutic effect and reducing the number of doses a client needs to take throughout the day. This can simplify the medication regimen, making it easier for the client to adhere.

D) Provide for once-daily dosing: Once-daily dosing is beneficial for improving adherence because it reduces the complexity of the medication regimen. Clients are more likely to remember to take their medication if they only need to do so once a day.

E) Perform mouth checks following the administration of the medication: Performing mouth checks can help ensure that the client has actually taken the medication, especially if there is suspicion of non-adherence. This intervention can confirm that the medication is ingested and can serve as a prompt for adherence in future doses.

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A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

Correct Answer is ["C","D","E"]

Explanation

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